Evidence map›Paper›PMID 25452860›Full record

ArticleBMJ open diabetes research & care2014

Forecasting the burden of type 2 diabetes in Singapore using a demographic epidemiological model of Singapore.

Thao P Phan, Leontine Alkema, E Shyong Tai, Kristin H X Tan, Qian Yang, Wei-Yen Lim, Yik Ying Teo, Ching-Yu Cheng, Xu Wang, Tien Yin Wong and 2 more

5 registry-linked trialsAbstract read
In one paragraph

Article in BMJ open diabetes research & care, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 5 registered trials, which are not on this map. Cited by 92 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
92citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03239782 nacompletednot on this mapstarted 2016, after this paper: background citation

The "Metabolically-obese Normal-weight" Phenotype in Two Asian Ethnic Groups and Its Reversal by Calorie Restriction

TypeinterventionalSponsorSingapore Institute of Food and Biotechnology InnovationRan2016 to 2017Enrolled77ConditionsGlucose Metabolism Disorders, Obesity, Visceral, Obesity, EndocrineArmsCalorie restriction
NCT03264001 naunknown statusnot on this mapstarted 2017, after this paper: background citation

Effects of Progressive Negative Energy Balance Induced by Diet or Exercise on Glucose Tolerance, Insulin Sensitivity, and Beta-cell Function

TypeinterventionalSponsorSingapore Institute of Food and Biotechnology InnovationRan2017 to 2018Enrolled61ConditionsInsulin Sensitivity, Glucose Intolerance, Insulin Resistance, Energy SupplyArmsNegative energy balance
NCT03413215 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Effects of Multidisciplinary Intensive Targeted Care in Improving Diabetes Outcomes: a Randomized Controlled Pilot Study - the Integrated Diabetes Education, Awareness and Lifestyle Modification in Singapore (IDEALS) Program

TypeinterventionalSponsorChangi General HospitalRan2019 to 2022Enrolled50ConditionsDiabetes Mellitus, Type 2, Diabetic Nephropathy, HypertensionArmsIntensive
NCT04070963 unknown statusnot on this mapstarted 2019, after this paper: background citation

Incidence of Undiagnosed and Poorly Controlled Diabetes Mellitus Among Surgical Patients and Its Association With Perioperative Outcomes: a Single-centre Prospective Cohort Study

TypeobservationalSponsorSingapore General HospitalRan2019 to 2019Enrolled888ConditionsDiabetes MellitusArmsHbA1C
NCT07252700 narecruitingnot on this mapstarted 2025, after this paper: background citation

Preventing Diabetes: Impact of an EMR-Based Intervention for Enhanced Pre-Diabetes Management in Primary Care

TypeinterventionalSponsorLynette GohRan2025 to 2028Enrolled6,000ConditionsPre Diabetes, Diabetes (DM)ArmsElectronic Medical Record-Based Clinical Decision Support
3 · Its place in the literature

Who cites it

92 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
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  5. Quality of life item banks for type 2 diabetes: psychometric evaluation and computerized adaptive testing simulations.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
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  16. An Observational Clinical Trial Examining the Effect of Topical Oxygen Therapy (NatroxThe international journal of lower extremity wounds · 2024
    Observational
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32 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Thao P PhanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore.
Leontine AlkemaSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Department of Statistics and Applied Probability , Faculty of Science, National University of Singapore , Singapore.
E Shyong TaiSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Division of Endocrinology , National University Hospital and National University Health System , Singapore ; Yong Loo Lin School of Medicine, National University of Singapore and National University Health System , Singapore.
Kristin H X TanSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore.
Qian YangSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore.
Wei-Yen LimSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Ministry of Health , Singapore.
Yik Ying TeoSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Department of Statistics and Applied Probability , Faculty of Science, National University of Singapore , Singapore ; Life Sciences Institute, National University of Singapore , Singapore.
Ching-Yu ChengSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Department of Ophthalmology , Yong Loo Lin School of Medicine, National University of Singapore and National University Health System , Singapore ; Singapore Eye Research Institute , Singapore ; Center for Quantitative Medicine, Duke-NUS Graduate Medical School , Singapore.
Xu WangSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore.
Tien Yin WongDepartment of Ophthalmology , Yong Loo Lin School of Medicine, National University of Singapore and National University Health System , Singapore ; Singapore Eye Research Institute , Singapore.
Kee Seng ChiaSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore.
Alex R CookSaw Swee Hock School of Public Health, National University of Singapore and National University Health System , Singapore ; Department of Statistics and Applied Probability , Faculty of Science, National University of Singapore , Singapore ; Program in Health Services and Systems Research, Duke-NUS Graduate Medical School , Singapore ; Yale-NUS College , Singapore.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveSingapore is a microcosm of Asia as a whole, and its rapidly ageing, increasingly sedentary population heralds the chronic health problems other Asian countries are starting to face and will likely face in the decades ahead. Forecasting the changing burden of chronic diseases such as type 2 diabetes in Singapore is vital to plan the resources needed and motivate preventive efforts.

methodsThis paper describes an individual-level simulation model that uses evidence synthesis from multiple data streams-national statistics, national health surveys, and four cohort studies, and known risk factors-aging, obesity, ethnicity, and genetics-to forecast the prevalence of type 2 diabetes in Singapore. This comprises submodels for mortality, fertility, migration, body mass index trajectories, genetics, and workforce participation, parameterized using Markov chain Monte Carlo methods, and permits forecasts by ethnicity and employment status.

resultsWe forecast that the obesity prevalence will quadruple from 4.3% in 1990 to 15.9% in 2050, while the prevalence of type 2 diabetes (diagnosed and undiagnosed) among Singapore adults aged 18-69 will double from 7.3% in 1990 to 15% in 2050, that ethnic Indians and Malays will bear a disproportionate burden compared with the Chinese majority, and that the number of patients with diabetes in the workforce will grow markedly.

conclusionsIf the recent rise in obesity prevalence continues, the lifetime risk of type 2 diabetes in Singapore will be one in two by 2050 with concomitant implications for greater healthcare expenditure, productivity losses, and the targeting of health promotion programmes.

Indexed as

Adult DiabetesDemographicsSimulationStatistical Methods

Identifiers

PMID25452860
PMCPMC4212579

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.